Advice to Nursing Students in Peds Rotation - page 3
by shelbs3 | 12,478 Views | 37 Comments
Alright I have been on days now for about 3 months and have had a nursing student placed with me more often than not. I have a different one every day for the last 3 days. I work in peds heme onc and I absolutely love it. I enjoy... Read More
- 0Aug 28, '13 by artisticmindgreat advice! in our nursing program the ONLY rotation we had time to stand around- we were not allowed to bring books with us to clinicals, just our prep notes and our "tools"- was during our OB rotation. We had separate days when we were scheduled to watch births that happened during our shift and other days where we were scheduled to do postpartum care on mom and assessments on babies and we'd go in and do our thing and get out and let the new family be.
Every other rotation we were with our patients from morning report until the time we left with little down time. I think if students are consistently studying for tests during their clinicals the clinical advisor needs to know so their clinical time can be better used. We were always told if we were caught up on assessments and charting to see if our fellow students needed help or to check with other nurses to see if anything was needed.
- 0Aug 29, '13 by green34Is it their patient? Would the instructor let them help? Why do you not want them to ask a question which may help patient care? If it would have helped, then I would want someone to bring it up. I think that berating the student with a loud voice for asking a question was wrong. It discourages them from asking questions again. Maybe it wasn't the time, but saying a quick it prolongs the process is t that hard. Are you not confident in your skills to be placed with a student?
- 0Aug 29, '13 by QueenAnnissaInterestingly, we were told today that in our first clinical rotation, a LTC facility, that we WILL be expected to sit down, study, document, work on care plans during SOME of our clinical hours. We will also not be doing clinical prep the night before. (The reason being we would not have time to do 'prep' on a patient normally, so to the best of our ability we should already be prepared by our reading/studying, lab work and time in campus clinicals to come in, get report alongside our assigned nurse, and begin.) The thought is: as 1st semester students we are learning, putting together the material from lecture and our readings with the skills we have practiced in lab. And so their goal is: this involves cerebral processing, requiring time and conference with peers, instructors and our assigned nurse. We'll work on things as they arise and practice skills, observe and help our nurse, but also take time, perhaps an hour or two in the day, to sit and write out or update care plans for the patient, look up diseases, conditions, procedures, drugs, etc. This process will be different when we transition to acute care in the 2nd semester, I believe.
I will reserve judgement to see how it all works-I'm curious because it sounds so incredibly different from what I'm hearing other students are doing in clinicals.
- 1Aug 29, '13 by AmistadQuote from shelbs3YES thank you. I recently started working in onc/BMT and I feel like I get this reaction from everyone! I love my job and find it uplifting to work with patients and their families, although it can certainly be hard at times.Along the same lines I also don't want to hear that you think my job is depressing. I understand that this can be an emotionally trying area but I love my job and most days do not feel depressed at all!
- 1Aug 29, '13 by CialeJust my two cents on this...I think it's important to remember that nursing students aren't there to "work". Students know how to get a patient water and a blanket. I think if I was a preceptor, I'd try and find out what skills they need to work on and what they feel comfortable with before the shift starts. That way, you've laid the ground-work for when they NEED to be in the room with you and when they can take a few minutes to study at the nurse's station. I do not believe students should be stuck to you like glue. I've literally seen them almost follow nurses into the bathroom while at clinical.
Good advice/observation on the while "pity vs. compassion". I saw this on adult med surg units too. You've GOT to have a positive outlook to make it in nursing or you'll be depressed.
- 0Aug 29, '13 by shelbs3I feel like I should clarify myself on a few points. I do not expect students to follow me like glue however there have been multiple times where I have told the students that I am going to pass 9am meds (sometimes the only PO meds they will get on shift) and they tell me "Ok I will be here." PO meds may not be exciting but a big part of peds is getting compliance from your patients and giving PO meds is a great way to get some practice with that or at least see how they respond. I just want students to take advantage of every opportunity they are offered during their limited clinical time.
As far as the dressing removal story I do absolutely want students to as questions! I do want them to think about the appropriate time to ask them however. Asking that question in front of the parent while we were in the removal process was not ideal. It makes mom think that we are not doing what is best for the patient and in that case what was best was to remove the dressing in a timely manner to reduce the amount of time we had to hold the patient down. (Think stages of development- toddlers hate being restrained, loosing control ect.) We did not yell at the student, the reason we had to raise our voices was because the patient was screaming and we wanted both the student and mom to hear the reasons behind why we chose not to use adhesive remover.
- 0Aug 30, '13 by i♥wordsThanks for the tips. I just finished my first week of nursing school, and I start clinicals in a couple of weeks. Your advice applies to more than just peds. I'm really surprised that students would even be allowed to study at clinicals. My school has very strict rules about what we are allowed to bring and what we should be doing at clinicals. I should (theoretically) make time to document, but definitely not study. And I'm not going to be sitting when I could be giving meds! Also, the clinical instructor continually walks around the floor and monitors students. Honestly, it doesn't even make sense that a student would want to study while at clinicals. I mean, that's really the only way we can prove ourselves to our instructor (and ourselves). The first thing I learned in school was how to talk to patients in a compassionate, yet not pitying, way. Makes me wonder what this student's school is like.